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NPI Code Detail

MEDICARE: ALEXANDRA MEZA

MEDICARE:   ALEXANDRA  MEZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst23-304763AZ

General Provider Information

NPI Number : 1225899818
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA MEZA
Provider Business Mailing Address
First Line : 15897 W PAPAGO ST
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-3339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7236 S CENTRAL AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-5425
Country : US
Telephone Number : 885-772-8847
Fax Number : 248-479-4431
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2024
Last Update Date : 12/08/2025

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Directions to “ ALEXANDRA MEZA ” Practice Location

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